- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,804.60 / $133,348.00 / $224,155.00
| Facility | | $40,804.60 | $133,348.00 | $224,155.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144,462.12 / $214,371.82 / $277,974.27
| Facility | | $144,462.12 | $214,371.82 | $277,974.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,348.90 / $189,253.78 / $277,813.93
| Facility | | $132,348.90 | $189,253.78 | $277,813.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,389.94 / $187,137.12 / $392,432.47
| Facility | | $97,389.94 | $187,137.12 | $392,432.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,348.90 / $206,052.00 / $279,345.53
| Facility | | $132,348.90 | $206,052.00 | $279,345.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $159,598.81 / $259,175.66
| Facility | | $9,114.00 | $159,598.81 | $259,175.66 |